OLI-SEB-72

Code
OLI-SEB-72
Mercy ID
V-01019-01
Encounter Date
10/07/2002
Last
Olivares
First
Seberina
DOB
02/11/1972
County
Gwinnett
Street
1790 Meadow Chase Ct.
City
Snellville
State
GA
Zip
30078-
Home
(678) 344-4655
Family Status
Two parent family w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Olivares
First
Salomon
DOB
03/13/1964
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
No
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
YES
As A Child
YES
Relative
YES
Stranger
No
As An Adult
YES
Partner
No
Relative
YES
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Freddy Olivares 06/30/1990 Parents GA/USA
Lourdes Olivares 09/29/1999 Parents GA/USA
Max Olivares 05/30/1993 Parents GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Perez
Data Entry
K. Aleman
Referred By
x7764 Ma. Eugenia